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Chapter 30: Breast Disorders
Test Bank
MULTIPLE
CHOICE
1. The nurse!!teaching!!a!!young Hwomens community service group about F F F F F
breast self-examination (BSE) willinclude that
F F F F F
a. BSE will reduce the risk of dying from breast cancer.
F F F F F F F F F
b. BSE should be done daily while taking a bath or shower.
F F F F F F F F F F
c. annual mammograms should be scheduled in addition to BSE.
F F F F F F F F
d. performing BSE after the menstrual period is more comfortable.
F F F F F F F F
ANS: D F
Performing BSE at the end of the menstrual period will reduce the breast
F F F F F F F F F F F F F
tenderness associated with the procedure. The evidence is not clear that BSE
F F F F F F F F F F F F
reduces mortality from breast cancer. BSE should be donemonthly. Annual
F F F F F F F F F F F
TESTBANK FOR LEWIS MEDICA SURGICA NURSING F F
11TH EDITION BYHARDING Questions & Answers
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, TESTBANK FOR LEWIS MEDICA SURGICA NURSING F F
11TH EDITION BYHARDING Questions & Answers
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mammograms are not routinely scheduled for women under age 40, and newer
F F F F F F F F F F F F
guidelinessuggest delaying them until age 50.
F F F F F F
DIF: Cognitive Level: Apply (application)
F F F F
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
F F F F F F F F F
Maintenance
2. During a well woman physical exam, a 43-year-old patient asks about her
F F F F F F F F F F F F
risk for breast cancer. Whichquestion is most pertinent for the nurse to
F F F F F F F F F F F F F
ask?
a. Do you currently smoke tobacco?
F F F F
b. Have you ever had a breast injury?
F F F F F F
c. At what age did you start having menstrual periods?
F F F F F F F F
d. Is there a family history of fibrocystic breast changes?
F F F F F F F F
ANS: C F
Early menarche and late menopause are risk factors for breast cancer because
F F F F F F F F F F F F
TESTBANK FOR LEWIS MEDICA SURGICA NURSING F F
11TH EDITION BYHARDING Questions & Answers
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, TESTBANK FOR LEWIS MEDICA SURGICA NURSING F F
11TH EDITION BYHARDING Questions & Answers
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of the prolonged exposure toestrogen that occurs. Cigarette smoking, breast
F F F F F F F F F F F
trauma, and fibrocystic breast changes are not associated withincreased breast
F F F F F F F F F F F
cancer risk. F
DIF: Cognitive Level: Apply (application)
F F F F
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
F F F F F F F
3. A 51-year-old patient with a small immobile breast lump is considering
F F F F F F F F F F F
having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
F F F F F F F F F F F
advantage to this procedure is that
F F F F F
a. FNA is done in the outpatient clinic and results are available in 1 to 2 days.
F F F F F F F F F F F F F F F
b. only a small incision is needed, resulting in minimal breast pain and
F F F F F F F F F F F F
scarring.
c. if the biopsy results are negative, no further diagnostic testing will be
F F F F F F F F F F F F
needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from the
F F F F F F F F F F F F F
lesion.
ANS: A F
TESTBANK FOR LEWIS MEDICA SURGICA NURSING F F
11TH EDITION BYHARDING Questions & Answers
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, TESTBANK FOR LEWIS MEDICA SURGICA NURSING F F
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FNA is done in outpatient settings and results are available in 24 to 48 hours. No
F F F F F F F F F F F F F F F F
incision is needed. FNA may be guided by ultrasound, but not by mammogram.
F F F F F F F F F F F F F
Because the immobility of the breast lump suggests cancer, further testing will
F F F F F F F F F F F F
be done if the FNA is negative.
F F F F F F
DIF: Cognitive Level: Apply (application)
F F F F
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
F F F F F F F
4. Which F assessment finding in a 36-year-old patient is most indicative of a need
F F F F F F F F F F F F
for further evaluation?
F F
a. Bilateral breast nodules that are tender with palpation
F F F F F F F
b. A breast nodule that is 1 cm in size, nontender, and fixed
F F F F F F F F F F F
c. A breast lump that increases in size before the menstrual period
F F F F F F F F F F
d. A breast lump that is small, mobile, with a
F F F F F F F F F
rubbery consistencyANS: BF F F
Painless and fixed lumps suggest breast cancer. The other findings are more
F F F F F F F F F F F F
suggestive of benign processessuch as fibrocystic breasts and fibroadenoma.
F F F F F F F F F
TESTBANK FOR LEWIS MEDICA SURGICA NURSING F F
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